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目的:老年肾结石患者采用不同手术方式的治疗疗效分析。方法:选取86例于2015年5月至2016年5月东莞市南城医院接收的60岁以上肾结石患者,随机分为对照组43例经皮肾镜碎石取石术(PCNL)治疗与观察组43例输尿管软镜碎石术(FURL)治疗,观察两组疗效。结果:两组一次性结石清除率及总结石清除率比较,差异无统计学意义(P>0.05);观察组较对照组,患者住院时间更短、术中出血量更少,组间比较,差异具有统计学意义(P<0.05),在手术时间上,相比于对照组,观察组更长(P<0.05);观察组大量出血、发热病例分别为2(4.7%)、2(4.7%),均显著少于对照组的6(14.0%)、6(14.0%)(P<0.05)。结论:肾结石患者采用输尿管软镜碎石术,与经皮肾镜碎石术的一次性结石清除率一致,且创伤小,并发症相较于经皮肾镜碎石术明显要少。
Objective: Therapeutic effect of different surgical methods in elderly patients with kidney stones. Methods: Totally 86 patients with kidney stones over 60 years old received from Nancheng Hospital of Dongguan City from May 2015 to May 2016 were randomly divided into control group (43 cases) treated with percutaneous nephrolithotomy (PCNL) and observation group 43 cases of ureteroscopic soft lithotripsy (FURL) treatment, the two groups were observed. Results: Compared with the control group, the patients in the observation group had shorter hospitalization time, less blood loss during operation, and no significant difference in the stone clearance rate and the total stone clearance rate between the two groups (P> 0.05) (P <0.05). Compared with the control group, the observation group was longer (P <0.05) at the operation time. The number of hemorrhage and fever in the observation group were 2 (4.7%) and 2 %) Were significantly less than 6 (14.0%) and 6 (14.0%) in the control group (P <0.05). Conclusions: The ureteroscopic lithotripsy in patients with kidney stones is consistent with the one-time stone removal rate in percutaneous nephrolithotomy and the trauma is small. The complication is obviously less than that of percutaneous nephrolithotomy.